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[脊髓麻醉后阴茎勃起。海绵体内注射乙磺半胱氨酸治疗]

[Penile erection after spinal anesthesia. Treatment with intracavernous ethyladrianol].

作者信息

López Laur J D, Parisi J, Sánchez G

机构信息

Servicio de Urología, Hospital Italiano de Mendoza, Hospital D. Paroissien, MAIPU, Argentina.

出版信息

Arch Esp Urol. 1990 Apr;43(3):241-3.

PMID:1973348
Abstract

We report on 26 patients with sustained penile erection from spinal anesthesia following the classical technique using 20 mg bupivacaine at 0.25% that were treated by intracavernous injection of 10 mg ethyladrianol. Complete detumescence was achieved in 23 (88.4%); partial detumescence, which permitted transurethral surgery, was achieved in 3 patients (11.6%). No complications were observed apart from mild hematoma at the site of injection in 2 patients. All patients presented easily controllable arterial hypertension. This is a simple, easy and practically risk-free technique that has the advantage of achieving a high response rate thereby permitting surgery.

摘要

我们报告了26例采用经典技术使用0.25%的20毫克布比卡因进行脊髓麻醉后出现持续性阴茎勃起的患者,这些患者通过海绵体内注射10毫克乙基肾上腺素进行治疗。23例(88.4%)实现了完全消肿;3例(11.6%)实现了部分消肿,从而可以进行经尿道手术。除2例患者在注射部位出现轻度血肿外,未观察到其他并发症。所有患者均表现为易于控制的动脉高血压。这是一种简单、易行且几乎无风险的技术,其优点是实现高反应率,从而允许进行手术。

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